ADVANCED PHARMACOLOGY FINAL EXAM GUIDE : QUESTIONS AND
100% VERIFIED ANSWERS| GRADED A+ | GUARANTEED PASS!!
A 75-year old patient is taking Timolol Maleate (Timpotic) for chronic open angle
glaucoma and is well controlled. What side effect might you watch for if
Propanolol (Inderal) is added?
- answer-Bradycardia.
A patient complains of "puffy feet" shortly after beginning a new medication three
months ago. There is no underlying physiological cause for this condition. What
medication is most likely causing the problem?
- answer-Amlodipine (Norvasc).
A patient is taking the ACEI Enalapril (Vasotec) for the last four months for the
treatment of congestive heart failure, and is complaining of a nonproductive cough.
What should the NP advise the patient regarding this side effect?
- answer-The cough should subside 1-4 days after discontinuing the drug.
A patient presents with a history of GERD and many other medical conditions.
What medication would you encourage her to avoid?
- answer-NSAIDs.
Along with diet, what drug is used to treat hypertriglyceridemia?
- answer-Gemfibrozil (Lopid).
Amenorrhea is the most common side effect of which birth control medication?
- answer-Medroxyprogesterone (Depo-Provera)
Can antacids cause diarrhea?
- answer-Yes, antacids containing magnesium, which decrease bowel transit time,
may cause diarrhea. Most often seen in renal insufficiency.
Heparin exerts its therapeutic action by what?
- answer-Upregulating the activity of one of the body's natural anticoagulant
molecules, antithrombin III
, How are IV morphine and nitroglycerin beneficial in acute heart failure?
- answer-Decrease preload.
How do antiprostaglandin drugs cause stomach mucosal injury?
- answer-They alter the thickness of the protective mucosal layer.
How do Diphenoxylate (Lomotil) and Loperamide (Imodium) help relieve
diarrhea?
- answer-They decrease the motility of the ileum and colon, slowing the transit
time and promoting more water absorption.
How should an oral glucocorticoid be taken?
- answer-With food.
Spironoaldactone (Aldactone) has what mechanism of action (MOA)?
- answer-Aldosterone antagonist
The normal starting dose of levothyroxine is 50-100mcg per day for primary
hypothroidism. What is the most appropriate starting dose in a 71-year old female
patient?
- answer-25mcg per day.
What action is most effective in decreasing the risk of hyperkalemia associated
with the start of angiotensin-converting enzyme inhibitor (ACEI) therapy?
- answer-Making sure that the patient is well hydrated.
What age-related changes place the elderly at risk for an exaggerated response to
Warfarin (Coumadin) and Heparin?
- answer-Protein binding changes and decrease in clotting factors.
What anithypertensive agent is safe during pregnancy?
- answer-Methyldopa (Aldomet).
What antimicrobial agent would be appropriate to prescribe in a 65-year old patient
who presents with a past medical history of coronary artery disease, a 101F
temperature, and tachypnea of 24 breaths per minute. Chest X-ray confirms a left
100% VERIFIED ANSWERS| GRADED A+ | GUARANTEED PASS!!
A 75-year old patient is taking Timolol Maleate (Timpotic) for chronic open angle
glaucoma and is well controlled. What side effect might you watch for if
Propanolol (Inderal) is added?
- answer-Bradycardia.
A patient complains of "puffy feet" shortly after beginning a new medication three
months ago. There is no underlying physiological cause for this condition. What
medication is most likely causing the problem?
- answer-Amlodipine (Norvasc).
A patient is taking the ACEI Enalapril (Vasotec) for the last four months for the
treatment of congestive heart failure, and is complaining of a nonproductive cough.
What should the NP advise the patient regarding this side effect?
- answer-The cough should subside 1-4 days after discontinuing the drug.
A patient presents with a history of GERD and many other medical conditions.
What medication would you encourage her to avoid?
- answer-NSAIDs.
Along with diet, what drug is used to treat hypertriglyceridemia?
- answer-Gemfibrozil (Lopid).
Amenorrhea is the most common side effect of which birth control medication?
- answer-Medroxyprogesterone (Depo-Provera)
Can antacids cause diarrhea?
- answer-Yes, antacids containing magnesium, which decrease bowel transit time,
may cause diarrhea. Most often seen in renal insufficiency.
Heparin exerts its therapeutic action by what?
- answer-Upregulating the activity of one of the body's natural anticoagulant
molecules, antithrombin III
, How are IV morphine and nitroglycerin beneficial in acute heart failure?
- answer-Decrease preload.
How do antiprostaglandin drugs cause stomach mucosal injury?
- answer-They alter the thickness of the protective mucosal layer.
How do Diphenoxylate (Lomotil) and Loperamide (Imodium) help relieve
diarrhea?
- answer-They decrease the motility of the ileum and colon, slowing the transit
time and promoting more water absorption.
How should an oral glucocorticoid be taken?
- answer-With food.
Spironoaldactone (Aldactone) has what mechanism of action (MOA)?
- answer-Aldosterone antagonist
The normal starting dose of levothyroxine is 50-100mcg per day for primary
hypothroidism. What is the most appropriate starting dose in a 71-year old female
patient?
- answer-25mcg per day.
What action is most effective in decreasing the risk of hyperkalemia associated
with the start of angiotensin-converting enzyme inhibitor (ACEI) therapy?
- answer-Making sure that the patient is well hydrated.
What age-related changes place the elderly at risk for an exaggerated response to
Warfarin (Coumadin) and Heparin?
- answer-Protein binding changes and decrease in clotting factors.
What anithypertensive agent is safe during pregnancy?
- answer-Methyldopa (Aldomet).
What antimicrobial agent would be appropriate to prescribe in a 65-year old patient
who presents with a past medical history of coronary artery disease, a 101F
temperature, and tachypnea of 24 breaths per minute. Chest X-ray confirms a left
